Parenteral esmolol formulation
A parenteral formulation of esmolol hydrochloride for use in the treatment of a patient suffering from tachycardia comprising a lyophilized powder consisting of pure esmolol hydrochloride, wherein said powder is reconstituted to obtain a ready-to-use i.v. solution of esmolol hydrochloride at a concentration of 20-100 mg/mL, and said i.v. solution is directly administered to the patient, and further a method of producing a ready-to-use i.v. solution of esmolol hydrochloride by reconstituting a lyophilized powder consisting of pure esmolol hydrochloride with a solvent, characterized in that said solvent is an i.v. solvent devoid of alcohol or a buffer excipient, in an amount necessary to obtain a ready-to-use i.v. solution at a concentration of 20-100 mg/mL, and the ready-to-use i.v. solution containing a parenteral formulation of 20-100 mg/mL pure esmolol hydrochloride in an infusion device or consisting of a parenteral formulation of 20-100 mg/mL pure esmolol hydrochloride, WFI and/or saline solution, devoid of any alcohol or buffer excipients.
1. A method of treating a patient suffering from tachycardia, comprising the steps of:
reconstituting a lyophilized powder consisting of pure esmolol hydrochloride with water for injection (WFI) or an aqueous saline solution to obtain a ready-to-use intravenous (i.v.) solution of esmolol hydrochloride at a concentration of 50 mg/mL, wherein the solution is free of alcohol and buffer excipients; and
administering the i.v. solution to the patient,
thereby treating the tachycardia.
2. The method of claim 1 , wherein the i.v. solution has a pH of 4.5 to 5.0.
3. The method of claim 1 , wherein the i.v. solution is administered as a continuous infusion.
4. The method of claim 1 , wherein the i.v. solution is administered as a maintenance infusion at a dose of at least 25 μg/kg/min.
5. The method of claim 4 , wherein the i.v. solution is administered following an initial infusion of the i.v. solution at a dose of at least 300 μg/kg/min.
6. The method of claim 1 , wherein the i.v. solution is local tissue tolerant at the infusion site, thereby preventing local venous irritation or skin necrosis at the infusion site.
7. The method of claim 1 , wherein the patient is:
a. suffering from a condition selected from the group consisting of supraventricular tachycardia, ventricular tachycardia, non-compensatory sinus tachycardia, atrial fibrillation, and atrial flutter, or
b. in need of blood pressure lowering during aortic dissection or for controlled hypotension to avoid blood loss in ear/nose/throat surgery or for diagnostic purposes.
8. The method of claim 1 , wherein the patient is experiencing one or more conditions selected from the group consisting of cardiac decompensation, renal decompensation, hypernatremia, hyperchloramic acidosis, and hyperhydratation.
9. The method of claim 1 , wherein the lyophilized powder consisting of pure esmolol hydrochloride is reconstituted with an aqueous saline solution.
10. The method of claim 1 , wherein the lyophilized powder consisting of pure esmolol hydrochloride is reconstituted with water for injection (WFI).